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Individual

DR. RALPH JAMES TULLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1640 CHERRY RIDGE DR, LAKE MARY, FL 32746-1945
(321) 262-9670
Mailing address
1640 CHERRY RIDGE DR, LAKE MARY, FL 32746-1945
(321) 262-9670

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME45972
FL
2085U0001X
Diagnostic Ultrasound Physician
ME45972
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ME45972
MEDICAL LICENSE
FL
Enumeration date
06/30/2005
Last updated
09/16/2025
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